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General NPI Number Information
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NPI Number | 1083655856
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER FOR IMMUNE & TOXIC DISORDERS, LTD., L.L.P.
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 25010 OAKHURST DR SECOND FLOOR
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City | SPRING
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State | TX
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Zip | 77386-2719
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Country | US
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Telephone | 281-681-8989
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Fax | 281-664-5521
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Provider Business Mailing Address
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Address Line | 25010 OAKHURST DR SECOND FLOOR
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City | SPRING
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State | TX
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Zip | 77386-2719
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Country | US
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Telephone | 281-681-8989
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Fax | 281-664-5521
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Authorized Official
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Title or Position | CEO
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Name | MS. NINA B. IMMERS
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Credential | ADMINISTRATOR
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Telephone | 281-681-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207RI0001X
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Taxonomy Name | Clinical & Laboratory Immunology (Internal Medicine) Physician
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License Number |
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 2083T0002X
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Taxonomy Name | Medical Toxicology (Preventive Medicine) Physician
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License Number |
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 2080T0002X
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Taxonomy Name | Pediatric Medical Toxicology Physician
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License Number |
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number |
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State | TX
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Taxonomy #13
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Taxonomy Code | 2472E0500X
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Taxonomy Name | EEG Technician
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License Number |
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License Number State | TX
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Taxonomy #14
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number |
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License Number State | TX
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Taxonomy #15
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Taxonomy Code | 225B00000X
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Taxonomy Name | Pulmonary Function Technologist
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License Number |
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License Number State | TX
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